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2323 Clear Lake City Blvd Suite 140 Houston TX 77062 | |
| (281) 488-3626 | |
| (281) 486-4766 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2323 Clear Lake City Blvd Suite 140, Houston, Texas |
| Authorized Official Name and Position | Julie H Du (DIRECTOR) |
| Authorized Official Contact | 2814883626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2323 Clear Lake City Blvd Suite 140 Houston TX 77062 Ph: (281) 488-3626 | 2323 Clear Lake City Blvd Suite 140 Houston TX 77062 Ph: (281) 488-3626 |
| NPI Number | 1851400550 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851400550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20694 (Texas) | Primary |
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